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metaphorically. "To help you I have to be in your reality, and your reality is really unpleasant" -- more or less.
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I didn't say it's appropriate, but that I can't think of something more useful to say. That said, I think it depends greatly on context.
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The logical conclusion of that line of thought is there aren't right choices, even if explicit goals are present. I don't think that's true.
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